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likely impact of intensive treatment, and the patient's wishes. Age should be considered as part of the global assessment of the patient. Lacking national guidelines, the document is the reference standard for healthcare professionals in case of imbalance between care needs and available resources during a COVID-19 pandemic in Italy, and a point of reference for the medico-legal assessment in cases of dispute. Lacking national guidelines, the document is the reference standard for healthcare professionals in case of imbalance between ca